Fuller, Bradley

Fuller, Bradley is an individual health care provider with primary practice located at 2458 Se Burnside Rd , Gresham OR 97080-1247. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fuller, Bradley can be contacted via phone (503) 666-8045.

Contact Information

Primary practice address
2458 Se Burnside Rd Gresham OR 97080-1247
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7229 Oregon

Profile Details

NPI number 1073730784
LBN Legal business name Fuller, Bradley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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